Provider Demographics
NPI:1992199723
Name:SHARPE, CHRISTOPHER (MSW, CDC-II, MAC)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:
Last Name:SHARPE
Suffix:
Gender:M
Credentials:MSW, CDC-II, MAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1075 S CHECK ST STE 105
Mailing Address - Street 2:
Mailing Address - City:WASILLA
Mailing Address - State:AK
Mailing Address - Zip Code:99654-8067
Mailing Address - Country:US
Mailing Address - Phone:907-373-9517
Mailing Address - Fax:907-373-8517
Practice Address - Street 1:1075 S CHECK ST STE 105
Practice Address - Street 2:
Practice Address - City:WASILLA
Practice Address - State:AK
Practice Address - Zip Code:99654-8067
Practice Address - Country:US
Practice Address - Phone:907-373-9517
Practice Address - Fax:907-373-8517
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-18
Last Update Date:2016-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK113406101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health